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CT of the hyperdense renal cyst: sonographic correlation

Journal Article · · AJR, Am. J. Roentgenol.; (United States)

The computed tomographic (CT) appearances of 19 hyperdense renal cysts in nine patients are reported. Sixteen of these cysts were found over a period of only 1 year with state-of-the-art CT equipment. A CT diagnosis of benign hyperdense renal cyst can be made if a lesion meets all of the following criteria: 1) smoothly outlined imperceptible wall with sharp demarcation from the kidney; 2) before intravenous contrast injection, homogeneous internal content with CT numbers 40-240% higher (70-240% higher for lesions 10 mm or more in diameter) than renal parenchyma; and 3) after intravenous contrast injection, persistent internal homgeneity and insignificant enchancement (less than 6%) relative to normal renal cortex. For masses exceeding 15 mm in diameter, sonography can be a valuable confirmatory test.

Research Organization:
Cornell Univ. Medical Center, New York, NY
OSTI ID:
6601148
Journal Information:
AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 143; ISSN AAJRD
Country of Publication:
United States
Language:
English

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